老年食管癌手术治疗的疗效

The efficacy of surgical treatment for esophageal carcinoma in elderly patients

目的:探讨高龄食管癌病人的外科治疗方法及疗效。方法:回顾分析1995年1月～2001年1月间56例65岁以上食管癌病人的外科治疗资料。结果:高龄食管癌病人初次就诊时间晚,平均6.9个月,并存病多(76.7%),肿瘤切除率为87.5%,围手术期病死率为3.1%。结论:手术切除是高龄食管癌病人的最佳治疗方法,手术治疗有助于提高高龄食管癌病人的生存率和生活质量,但早期诊断,早期治疗,合理处理并存病,选择适当的麻醉和手术方式,有效预防和治疗并发症是提高疗效的关键。

Objective：To study the surgical treatment for with elderly patients for esophageal carcinoma.Methods：The experience of surgieal treatment for esophageal eareinoma in 56 patients over 65 years of age from 1995-2001 was retrospeetively analyzed.Results：The average period of the first time for the patients sought for medieal advice was 6.9 months, most of the patients had complication with other diseases （76.7%）,tumor resection rate was 87.5%,operation mortality was 3.1%.Conclusion：Surgical treatment ean improve survival rate and quality of life of elderly patients with esophageal eareinoma,and is the best therapy for them.Early diagnosis,appropriate treatment, eorreet management of preexisting diseases,appropriate ehoiee of anesthesia and operation procedure,effective prevention and treatment of eomplieation are a eritieal way for the elderly patients with esophageal carcinoma.